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1194072348
BRIAN MATTHEW LIXEY
FORT CAMPBELL, KY
NPI
1194072348
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MI 2901020670)
Enumeration Date
2012-08-07
Last Update Date
2012-08-07
Business Address
BRIAN MATTHEW LIXEY DDS
2441 21ST ST
FORT CAMPBELL, KY 42223-5582
Phone number: 270-798-8614
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Mailing Address
BRIAN MATTHEW LIXEY DDS
2441 21ST ST
FORT CAMPBELL, KY 42223-5582
Phone number: 270-798-8614
Copy
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